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我们还能阻止医生从奥地利外流吗?:维也纳医科大学学生对临床实习的评估。

Can we still stop the migration of physicians from Austria? : An evaluation of clinical internships by students of the Medical University of Vienna.

作者信息

Seitz Tamara, Turk Bela R, Löffler-Stastka Henriette

机构信息

Medizinische Universität Wien, Vienna, Austria.

Universitätsklinik für Psychoanalyse und Psychotherapie, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Vienna, Austria.

出版信息

Wien Klin Wochenschr. 2017 Jan;129(1-2):65-69. doi: 10.1007/s00508-016-1095-5. Epub 2016 Oct 19.

Abstract

The increasing emigration of graduates of the Medical University of Vienna presents a serious problem. This study examined students' evaluation of clinical rotations, their self-rated performance, and where they felt the most deficits exist. Medical students answered an online questionnaire surveying the following aspects: an evaluation of their internship; supervision; integration in the team and improvement of field-specific knowledge; the qualities of taking a patient's medical history by empathy; patient-centeredness; structure; target orientation; and the ability to integrate field-specific knowledge into anamnesis. The data collected indicate that rotations in Austria, especially in Vienna, were evaluated significantly worse than those abroad. Particularly the lack of supervision and integration in the team were criticized. These data stress a dire need for the reform of curricular structures during clinical rotation in the latter years of medical education.

摘要

维也纳医科大学毕业生日益增多的移民现象带来了一个严重问题。本研究调查了学生对临床轮转的评价、他们的自我评价表现,以及他们认为最欠缺的方面。医学生回答了一份在线问卷,该问卷调查了以下几个方面:对实习的评价;监督;团队融入和特定领域知识的提升;通过同理心获取患者病史的能力;以患者为中心;结构;目标导向;以及将特定领域知识融入问诊的能力。收集到的数据表明,奥地利的轮转,尤其是在维也纳的轮转,被评价得明显比国外的差。特别是团队中缺乏监督和融入受到了批评。这些数据强调了在医学教育后期临床轮转期间课程结构改革的迫切需求。

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